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Nasim
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Asked: 2020-10-03T21:08:06+00:00 In:

How we can differentiate between amoebic and bacillary dysentery?

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amoebic and bacillary dysentery

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    Difference between amoebic & bacillary dysentery are: 1. Causative organisms- Amoebic dysentery- Entamoeba Histolytica Bacilliary dysentery- Shigella species, Enterohaemorragic E. Coli, Vibrio parahemolyticus, Campylobacter jejuni. 2. Nature of lesion- Amoebic dysentery- Necrotic due to proteolyRead more

    Difference between amoebic & bacillary dysentery are:
    1. Causative organisms-
    Amoebic dysentery- Entamoeba Histolytica
    Bacilliary dysentery- Shigella species, Enterohaemorragic E. Coli, Vibrio parahemolyticus, Campylobacter jejuni.
    2. Nature of lesion-
    Amoebic dysentery- Necrotic due to proteolytic ferment.
    Bacillary dysentery- Suppurative due to diffusible toxins.
    3. Depth of ulcer-
    Amoebic dysentery- Usually depth
    Bacillary dysentery- Shallow
    4. Margine of ulcer-
    Amoebic dysentery- Ragged & undermined.
    Bacillary dysentery- Uniform, clear cut.
    5. Intervening mucus-
    Amoebic dysentery- Normal
    Bacillary dysentery- Inflammed
    6. Types of necrosis-
    Amoebic dysentery- Pyknotic
    Bacillary dysentery- Karyolysis
    7. Liver abscess- as a complication
    Amoebic dysentery- Common
    Bacillary dysentery- Rare
    8. Cellular response-
    Amoebic dysentery- Mononuclear
    Bacillary dysentery- Polymorphoneuclear
    9. Onset-
    Amoebic dysentery- Gradual
    Bacillary dysentery- Acute
    10. General conditions-
    Amoebic dysentery- Normal
    Bacillary dysentery- Poor
    11. Fever-
    Amoebic dysentery- Little in adult
    Bacillary dysentery- High grade
    12. Tenesmus-
    Amoebic dysentery- Moderate
    Bacillary dysentery- Severe
    13. Dehydration-
    Amoebic dysentery- Little in adult
    Bacillary dysentery- Frequent
    14. Faeces-
    Amoebic dysentery- Trophozoites present
    Bacillary dysentery- Trophozoites absent
    15. Culture-
    Amoebic dysentery- Negative
    Bacillary dysentery- Positie
    16. RBC in stool-
    Amoebic dysentery- In clumps
    Bacillary dysentery- Discrete
    17. Pus cells in stool-
    Amoebic dysentery- Few
    Bacillary dysentery- Numerous
    18. Ghost cells-
    Amoebic dysentery- Absent
    Bacillary dysentery- Present
    19. Stool motions-
    Amoebic dysentery- 6-8/ day
    Bacillary dysentery- Over 10/ day
    20. Stool amounts-
    Amoebic dysentery- Relatively large
    Bacillary dysentery- Small
    21. Odors –
    Amoebic dysentery- Offensive
    Bacillary dysentery- Odorless
    22. Color of blood-
    Amoebic dysentery- Dark red (altered blood)
    Bacillary dysentery- Bright red ( fresh blood)
    23. Consistency-
    Amoebic dysentery- Loose or formed mucous
    Bacillary dysentery- Viscid
    24. Reaction-
    Amoebic dysentery- Acid
    Bacillary dysentery- Alkaline
    25. Eosinophils-
    Amoebic dysentery- present (many)
    Bacillary dysentery- Very few

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